[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"freq":10},"nurse-113-1-內外科護理學-047","nurse-113-1-medical-surgical-047",113,1,47,"有關休克病人體溫下降之護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"當身體顫抖產熱及代謝增加，應調低室溫以減少發燒程度","靜脈注射的液體或血液，應加溫至接近正常體溫","使用熱水袋或電毯包裹四肢","給予熱水浴，以增加病人舒適感","B",null,[],"本題考點在於休克病人低體溫的正確保暖原則。休克時周邊血管收縮、組織灌流不足，體溫下降，處置目標是溫和回溫並避免加重代謝耗氧。依此原則，B「靜脈輸注的液體或血液應加溫至接近正常體溫」正確，可避免大量冰冷輸液造成核心體溫進一步下降與心律不整。A「調低室溫以減少發燒」錯誤，休克顫抖是產熱代償，降室溫反使體溫更低、耗氧更多。C「用熱水袋或電毯包裹四肢」錯誤，直接局部加熱會使周邊血管擴張、血液流向四肢，減少重要器官灌流並有燙傷風險。D「給予熱水浴」同理會造成周邊血管擴張、血壓下降，且不適用於循環不穩病人。故正解為 B。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840783047]